FAYETTEVILLE FAMILY MEDICAL CARE, PA


Address: 1307 Avon St, Fayetteville, NC 28304-4423
Phone: 9103231718

FAYETTEVILLE FAMILY MEDICAL CARE, PA (NPI# 1265707228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265707228
Entity Type Organization
Organization Name FAYETTEVILLE FAMILY MEDICAL CARE, PA
Other Organization Name FAYETTEVILLE FAMILY PHARMACY
Practice Address 1307 Avon St
Fayetteville
NC 28304-4423
Practice Telephone 9103231718
Practice Fax Number 9103233834
Mailing Telephone 9103231718
Mailing Fax Number 9103233834
Enumeration Date 2012-03-09
Last Update Date 2012-03-09
Authorized Official Name MRS. ALICE M KUGLER (ADMINISTRATOR)
Authorized Official Telephone 9103231718
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
07787 NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 048YU 01

Other Provider/Organization Names

Other Name Type Code
Fayetteville Family Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073518536 Fayetteville Family Medical Care, Pa Family Medicine 1307 Avon St, Fayetteville, NC 28304-4423 2005-06-20

Office Location

Street Address 1307 AVON ST
City FAYETTEVILLE
State NC
Zip Code 28304-4423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073518536 Fayetteville Family Medical Care, Pa Family Medicine 1307 Avon St, Fayetteville, NC 28304-4423 2005-06-20
1619490679 Erika Rae Mcclain Pharmacist 1307 Avon St, Fayetteville, NC 28304-4423 2017-07-21
1548704042 Cumberland County Hospital System Inc Family Medicine 1307 Avon St, Fayetteville, NC 28304-4423 2016-12-19
1336517507 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1307 Avon St, Fayetteville, NC 28304-4423 2015-09-04
1558789735 Jennifer Overby Hall Physician Assistant 1307 Avon St, Fayetteville, NC 28304-4423 2014-04-03
1154643898 Sarah Allen Fazekas Nurse Practitioner 1307 Avon St, Fayetteville, NC 28304-4423 2010-02-22
1184679284 Joshua A. Trujillo Family Medicine 1307 Avon St, Fayetteville, NC 28304-4423 2006-05-24
1447240072 Sharon S Mitchell Family Medicine 1307 Avon St, Fayetteville, NC 28304-4423 2005-10-25
1316937972 Brian K Fleming Family Medicine 1307 Avon St, Fayetteville, NC 28304-4423 2005-10-25
1841280401 Carolyn M Sampson Family Medicine 1307 Avon St, Fayetteville, NC 28304-4423 2005-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528547718 Fayetteville State University Pharmacy 1200 Murchison Rd, Fayetteville, NC 28301-4252 2018-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629691555 Grey & Teal Pharmacy 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 2020-05-27
1316598873 Island Pharmacy Inc Pharmacy 210 S Us Hwy 64/264, Manteo, NC 27954 2019-09-26
1043864598 Stout Scripts, Inc. Pharmacy 200 West Fleming Dr, Morganton, NC 28655 2019-08-01
1548743826 Asheville Mountain Pharmacy Inc Pharmacy 1272 Tunnel Rd Ste 20, Asheville, NC 28805-2100 2018-09-12
1770006355 Surry Medical Ministries Clinic Pharmacy 813 Rockford St, Mount Airy, NC 27030-5321 2017-07-25
1235514860 Student Stores Pharmacy Pharmacy Cb 1530 Daniels Building, 207 South Road, Chapel Hill, NC 27599-0001 2015-07-24
1366863144 Helping Hands Clinic, Inc. Pharmacy 810 Harper Ave Nw, Lenoir, NC 28645-5083 2013-12-23
1174876189 Campbell University Health Center, LLC Pharmacy 129 T. T. Lanier Street, Buies Creek, NC 27506 2012-10-16
1942535232 Quality Care Pharmacy of The Sandhills Pharmacy 1103 Seven Lakes Drive, 6541 Seven Lakes Village, West End, NC 27376-9314 2009-10-05
1144355116 Forsyth County North Carolina Pharmacy 725 N. Highland Ave, Winston-salem, NC 27101-4299 2007-02-22
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Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28304

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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